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Assisted Living Home

The Cascades Assisted Living

Assisted Living Home

The Cascades Assisted Living

13 Park Lawn Dr, Bethel, CT 06801 View map
Overview of The Cascades Assisted Living

The Cascades Assisted Living near Danbury offers exceptional personal care for assisted living seniors in Bethel. The residents can expect the senior living experience to perform nothing less than outstanding service provided by its professional and compassionate staff. The home-like setting practices a resident-centered approach to senior living so seniors can thrive and reach their fullest potential.

Residential living at The Cascades focuses on fulfilling holistic wellness through extensive community services. These all-inclusive features include ADLs, medication management, apartments, transfer assistance, housekeeping, and laundry services tailored to their unique needs.

(203) 830-7390

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
3/5
Connecticut average: 3.4/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5
Connecticut average: 3.1/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
3/5
Connecticut average: 3.4/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5
Connecticut average: 3.6/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 41m per day

This home provides 9% less nursing time per resident than the Connecticut average.

Connecticut average: 4h 4m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 175

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Connecticut average
Occupancy rate 6.3%
Residents per day 11
Occupancy rate
6.3%
Residents per day
11

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

95% of new residents, usually for short-term rehab.

Typical stay 11 days

Private pay

5% of new residents, often for short stays.

Typical stay 10 - 11 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$35.8M
Operating loss
-$1.8M
Privately-owned community Operated by a business corporation.
Home revenue
$35,843,097.00
Operating loss
$-1,840,766.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$11.3M
31.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$26.3M
Total costs $37.7M
Years in operation
17 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 8 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

Services

Recreation

About this community

Occupancy

Occupancy rate
79%
In line with Connecticut average
Occupied beds
11 / 14
Average residents 102 per day

License details

Facility type
Residential Care Facility
Status Active
Issuance January 1, 2009
Expiration December 31, 2026

Additional licensing details

License number: 1868

Room costs

Private Room (14 rooms) $165 per day

Staffing

Key information about the people who lead and staff this community.

Languages Spoken

Spanish

Staff Composition (State Data)

Admin
1 FTE
Registered Nurse
1 FTE
Licensed Practical Nurse
2 FTE
Nursing Assistant
8 FTE
Recreation
2 FTE
Food Service Supervisor
11 FTE
Dietary
5 FTE
Other Staff
5 FTE

Additional Policies & Features

Religious Services: All Denominations

Types of Care at The Cascades Assisted Living

Assisted Living

What does this home offer?

Minimum age icon
Minimum age icon

Minimum Age: 55 Years Old

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes, Full Cover

Housing options icon
Housing options icon

Housing Options: 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: Apartments

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Contact The Cascades Assisted Living

Inspection History

In Connecticut, the Department of Public Health, Facility Licensing and Investigations Section conducts mandatory inspections and unannounced surveys to monitor the quality of care in long-term facilities.

2 visits/inspections

1 routine inspections

Breakdown by inspection type
  • 1 renewal/recertification inspection

Connecticut average: 13 visits/inspections

Latest inspection

Date:November 28, 2023

Inspection history

10-24-2022 Inspection Report
11-28-2023 Inspection Report

Inspection Report Summary for The Cascades Assisted Living

The most recent inspection on November 16, 2023, found no deficiencies. Earlier inspections also identified no violations of state regulations or statutes. There were no complaint investigations or enforcement actions listed in the available reports. The facility’s inspection history shows consistent compliance with regulatory requirements. This indicates a stable pattern of meeting licensing standards over time.

Health Inspection History

Inspections
Total health inspections 5

Connecticut average 5.7


Last Health inspection on Jul 2025

Total health citations 31

Connecticut average 32

Citations per inspection
6.2

Connecticut average 5.82


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

27 of 31 citations resulted from standard inspections; 3 of 31 resulted from complaint investigations; and 1 of 31 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Connecticut average

Connecticut average: 0.3


Serious Health citations More info 2
186% worse than Connecticut average

Connecticut average: 0.7

0 critical citations More info Connecticut average: 0.3

2 serious citations More info Connecticut average: 0.7

29 moderate citations More info Connecticut average: 28.8

0 minor citations More info Connecticut average: 2.3
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jul 22, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jul 22, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jul 22, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jul 22, 2025
Corrected

Compare Assisted Living around Danbury The information below is reported by the Connecticut Department of Public Health, Facility Licensing and Investigations Section.

The Cascades Assisted Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bethel
175
No
-
8
Studio / 1 Bed / 2 Bed
Brookdale Wilton
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Wilton (South Wilton)
-
Yes
A+
32
-
Sunrise of Wilton
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Wilton (Wilton Center)
-
Yes
-
52
-
Maplewood at Danbury
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Danbury
-
No
-
65
Studio / 1 Bed
Spring Village at Danbury
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Danbury
-
No
-
64
Studio / 1 Bed

Places of interest near The Cascades Assisted Living

Address 4.7 miles from city center — 3.69 miles to nearest hospital (Yale New Haven Health Urgent Care Brookfield)

Address 13 Park Lawn Dr, Bethel, CT 06801

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 306
Employees 168
Contractors 138
Staff to resident ratio 2.07:1
10% better than Connecticut average

Connecticut average ratio: 1.88:1

Avg staff/day 90
Average shift 8 hours
7% better than Connecticut average

Connecticut average: 7.5 hours

Total staff hours (quarter) 65,224
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 81
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 132
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

13.2%

8,626 contractor hours this quarter

Certified Nursing Assistant: 50 Licensed Practical Nurse: 44 Physical Therapy Assistant: 7 Respiratory Therapy Technician: 6 Occupational Therapy Assistant: 6 Qualified Social Worker: 5 Registered Nurse: 5 Clinical Nurse Specialist: 5 Physical Therapy Aide: 3 Other Physician: 3 Medical Director: 2 Speech Language Pathologist: 2
Staff by category
Certified Nursing Assistant825013230,80191100%8.3
Licensed Practical Nurse37448114,23891100%8
Registered Nurse155206,76491100%7.5
Clinical Nurse Specialist75123,1486875%8
Physical Therapy Assistant0771,3348897%7.2
Physical Therapy Aide0331,2906875%7.7
Other Dietary Services Staff4041,2218796%7.8
Qualified Social Worker0558496571%7.9
Respiratory Therapy Technician0667856976%5.7
Nurse Aide in Training150156213437%5.4
Administrator1015046369%8
Nurse Practitioner1014886167%8
RN Director of Nursing1014886167%8
Dental Services Staff1014655965%7.9
Other Social Services Staff1014565763%8
Mental Health Service Worker1014405560%8
Qualified Activities Professional1014324853%9
Occupational Therapy Aide1013764752%8
Speech Language Pathologist0223654044%9.1
Occupational Therapy Assistant066803336%2.3
Medical Director022452629%1.7
Other Physician033362325%1.5
132 Certified Nursing Assistant
% of Days 100%
81 Licensed Practical Nurse
% of Days 100%
20 Registered Nurse
% of Days 100%
12 Clinical Nurse Specialist
% of Days 75%
7 Physical Therapy Assistant
% of Days 97%
3 Physical Therapy Aide
% of Days 75%
4 Other Dietary Services Staff
% of Days 96%
5 Qualified Social Worker
% of Days 71%
6 Respiratory Therapy Technician
% of Days 76%
15 Nurse Aide in Training
% of Days 37%
1 Administrator
% of Days 69%
1 Nurse Practitioner
% of Days 67%
1 RN Director of Nursing
% of Days 67%
1 Dental Services Staff
% of Days 65%
1 Other Social Services Staff
% of Days 63%
1 Mental Health Service Worker
% of Days 60%
1 Qualified Activities Professional
% of Days 53%
1 Occupational Therapy Aide
% of Days 52%
2 Speech Language Pathologist
% of Days 44%
6 Occupational Therapy Assistant
% of Days 36%
2 Medical Director
% of Days 29%
3 Other Physician
% of Days 25%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
148 residents
Residents by payment source
Medicare
20 residents (13.5%)
Medicaid
97 residents (65.5%)
Private pay or other
31 residents (20.9%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.4
19% better than Connecticut average

Connecticut average: 10.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.5
12% better than Connecticut average

Connecticut average: 21.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.5%
23% better than Connecticut average

Connecticut average: 18.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.0%
38% better than Connecticut average

Connecticut average: 19.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.1%
17% worse than Connecticut average

Connecticut average: 24.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
26% better than Connecticut average

Connecticut average: 3.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.2%
8% better than Connecticut average

Connecticut average: 4.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
48% better than Connecticut average

Connecticut average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.8%
40% worse than Connecticut average

Connecticut average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 39.6%
161% worse than Connecticut average

Connecticut average: 15.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.5%
25% worse than Connecticut average

Connecticut average: 17.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
13% better than Connecticut average

Connecticut average: 87.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.9%
In line with Connecticut average

Connecticut average: 93.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.1%
37% better than Connecticut average

Connecticut average: 70.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
77% better than Connecticut average

Connecticut average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 85.4%
22% better than Connecticut average

Connecticut average: 69.8%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $16K
63% lower than Connecticut average

Connecticut average: $44K

Number of fines 2
15% more fines than Connecticut average

Connecticut average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Connecticut average

Connecticut average: 0.1

Fines amount comparison
Fines amount comparison
This facility $16K
Connecticut average $44K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 10, 2024
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 10, 2024
$8K

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Connecticut Seniors

Get financial aid guidance

Connecticut Home Care Program for Elders

CHCPE

Age 65+, Connecticut resident, at risk of nursing home placement.

State-funded: ~$1,600/month; Medicaid: ~$2,829/month (300% FBR).

$1,600 (state), $2,000 (Medicaid, individual).

Two tiers (state and Medicaid); waitlists possible.

Statewide Respite Care Program

CT Respite Care

Caregiver of senior with dementia, Connecticut resident.

~$2,500/month (individual, varies).

$40,000 (individual).

Limited to dementia caregivers; capped funding.

Congregate Housing Services Program (CHSP)

Connecticut Congregate Housing Services Program

Age 62+, Connecticut resident, frail but not needing 24/7 care, resides in CHSP-eligible housing.

~$41,000/year (individual, adjusted annually).

Not specified; focus is income-based.

Limited to 14 state-subsidized sites; participants pay 10% of service costs.

Medicare Savings Program (MSP)

Connecticut Medicare Savings Program

Age 65+ or disabled, Connecticut resident, enrolled in Medicare Part A/B.

~$2,510/month (individual, QMB); ~$3,380/month (SLMB); ~$3,598/month (ALMB)—adjusted annually.

None since 2023 policy change.

Three tiers (Qualified Medicare Beneficiary, Specified Low-Income, Additional Low-Income); no asset test.

Senior Community Service Employment Program (SCSEP)

Connecticut SCSEP (federally funded, state-administered)

Age 55+, unemployed, low-income, Connecticut resident.

~$1,983/month (125% FPL, individual).

Not specified; income-focused.

Priority for veterans, rural residents; limited slots (~500/year).

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